Surgical Management: Other Diaphragmatic Hernias in Adults

Gulamhusein, Taher; Obeid, Nabeel R.; Pryor, Aurora D.

doi:10.1007/978-3-319-96122-4_23

Cited by 3 publications

(4 citation statements)

References 55 publications

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“…Application of a mesh in diaphragmatic injuries associated with solid or hollow viscous injuries was contraindicated given the risk of mesh infection. As biological mesh is incorporated into the surrounding tissues it decreases the risk of infection, adhesion, erosion, extrusion, and rejection compared with the synthetic mesh [13].…”

Section: Discussionmentioning

confidence: 99%

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A Case of an Adult Complicated Left Diaphragmatic Hernia: Case Report and Literature Review

Ghattas,

Abdel Backi,

Al Bitar

et al. 2024

Int J Clin Res

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Introduction: Diaphragmatic hernia by definition is the protrusion of abdominal structures into the thoracic cavity. Classified as either congenital or acquired, adult diaphragmatic hernia without a history of trauma is rare, and iatrogenic diaphragmatic hernia is rarer. The array of symptoms may be acute or latent and will depend on the herniated organ, which certainly makes this pathology a challenge at the level of diagnosis and subsequent management. Case Report: Here we present the case of a 73-year-old male patient who presented one year post left nephrectomy complicated by splenectomy (post splenic injury), with two weeks history of diffuse abdominal pain, non-bilious vomiting, and shortness of breath. Workup done revealed a left diaphragmatic hernia containing necrotic-perforated small bowel loops. A laparotomy with intestinal resection, loop ileostomy along with a primary repair of the diaphragmatic defect were performed. Conclusion: Although a great portion of acquired diaphragmatic hernias remain asymptomatic, they may be presenting with severe symptomatology and aggravating complications. At the level of clinical manifestation, suspicion of diaphragmatic hernia ascends the ladder of differential diagnosis in a patient with combined respiratory and gastrointestinal symptoms and hence is essential to avoid delayed treatment and superimposing lethal complications. Definitive treatment of diaphragmatic hernia is surgical repair given the high morbidity and mortality associated with such injury.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Pulmonary complications are the most common postoperatively with atelectasis be ing the most reported leading to respiratory failure and a 45% mortality rate [13].…”

Section: Discussionmentioning

confidence: 99%

A Case of an Adult Complicated Left Diaphragmatic Hernia: Case Report and Literature Review

Ghattas,

Abdel Backi,

Al Bitar

et al. 2024

Int J Clin Res

View full text Add to dashboard Cite

show abstract

“…Application of a mesh in diaphragmatic injuries associated with solid or hollow viscous injuries was contraindicated given the risk of mesh infection. As biological mesh incorporates into the surrounding tissues which decreases the risk of infection, adhesion, erosion, extrusion, and rejection compared with the synthetic mesh [13].…”

Section: Discussionmentioning

confidence: 99%

“…Pulmonary complications are the most common post-operatively with atelectasis being the most frequent complication reported, along with a high incidence of prolonged respiratory failure and a 45% mortality rate [13].…”

Section: Discussionmentioning

confidence: 99%